Individual
MR. JAY RICHARD GALLEGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC/L
Contact information
Practice address
9500 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120-3911
(405) 255-0136
Mailing address
9500 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120-3911
(405) 255-0136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
543
OK
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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